HCPCS Code: L1843
Model Number: 117YXX Medial
KNEE ORTHOSIS, SINGLE UPRIGHT, THIGH AND CALF, WITH ADJUSTABLE
FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC), MEDIAL-LATERAL AND ROTATION CONTROL, WITH OR WITHOUT
VARUS/VALGUS ADJUSTMENT, PREFABRICATED ITEM THAT HAS BEEN
TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A
SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE
HCPCS Code: L1851
KNEE ORTHOSIS (KO), SINGLE UPRIGHT, THIGH AND CALF, WITH
ADJUSTABLE FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC), MEDIAL-LATERAL AND ROTATION CONTROL, WITH OR WITHOUT
VARUS/VALGUS ADJUSTMENT, PREFABRICATED, OFF-THE-SHELF
HCPCS Code: L1843
Model Number: 117YXX Lateral
KNEE ORTHOSIS, SINGLE UPRIGHT, THIGH AND CALF, WITH ADJUSTABLE
FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC), MEDIAL-LATERAL AND ROTATION CONTROL, WITH OR WITHOUT
VARUS/VALGUS ADJUSTMENT, PREFABRICATED ITEM THAT HAS BEEN
TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A
SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE
HCPCS Code: L1851
KNEE ORTHOSIS (KO), SINGLE UPRIGHT, THIGH AND CALF, WITH
ADJUSTABLE FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC), MEDIAL-LATERAL AND ROTATION CONTROL, WITH OR WITHOUT
VARUS/VALGUS ADJUSTMENT, PREFABRICATED, OFF-THE-SHELF